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Rhode Island rates for HCPCS J0780

Injection, prochlorperazine, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $9.33 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $14.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.51 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $3.09